Individual provider Active NPI

Minhas Moon, APRN

  • Family Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1457968315
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009524 Issued in FL
Practice address
7547 NW 79TH Ave Apt 115
Tamarac, FL 33321-2879
Phone
(954) 871-1216
NPI assigned
Sep 25, 2020
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11009524 FL Primary
Registered Nurse 163W00000X RN9504856 FL

Addresses

Primary practice location

7547 NW 79TH Ave Apt 115
Tamarac, FL 33321-2879

Mailing address

7547 NW 79TH Ave Apt 115
Tamarac, FL 33321-2879
Phone (954) 871-1216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230529000321 FL Practitioner - Nurse Practitioner 1557728003 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1400 NW 12TH Ave
Miami, FL 33136-1003
Phone (305) 689-7272

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9504856FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Mar 1, 2024 Accepting new patients
Trucare Medical Group LLC CurrentSince Mar 1, 2023 Accepting new patients
Trucare Medical Center LLC CurrentSince Jan 2, 2024 Accepting new patients
Accountable Care Hospitalist Group CurrentSince Dec 1, 2023 Accepting new patients
University of Miami CurrentSince Mar 1, 2024 Accepting new patients

Locations

301 S Gloria St
Clewiston, FL 33440
Phone (863) 938-5123

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

14001 NW 82nd Ave
Miami Lakes, FL 33016
Phone (786) 609-9033

201 NW 82nd Ave
Ste 305
Plantation, FL 33324
Phone (954) 424-4218

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1457968315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7547 NW 79TH AVE APT 115",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212879",
            "telephone_number": "954-871-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 NW 79TH AVE APT 115",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212879",
            "telephone_number": "954-871-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "MINHAS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009524",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9504856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.